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» Articles » PMID: 25873835

Dazed, Confused, and Asystolic: Possible Signs of Anti-N-methyl-D-aspartate Receptor Encephalitis

Overview
Journal Tex Heart Inst J
Specialty Cardiology & Vascular Diseases
Date 2015 Apr 16
PMID 25873835
Citations 8
Authors
Boback Ziaeian
Kamran Shamsa
Affiliations
Soon will be listed here.
Abstract

Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is a rare panencephalitis that can present with severe cardiac dysrhythmias. We present a case of a 19-year-old woman with no significant medical history who presented with progressive changes in mental status and profound ictal asystole that necessitated the placement of an external temporary pacemaker. She was diagnosed with and treated for anti-NMDA receptor encephalitis, and she recovered after a prolonged and complicated hospitalization. We review the pathophysiology and management of anti-NMDA receptor encephalitis, as well as its cardiac manifestations.

Citing Articles

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Sudden unexpected death in epilepsy and ictal asystole in patients with autoimmune encephalitis: a systematic review.

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Anti-N-methyl-d-aspartate Receptor Encephalitis Related Sinus Node Dysfunction and the Lock-Step Phenomenon.

Patel K, Chowdhury Y, Shetty M, Uppin V, Madaj P, Salifu M Am J Med Case Rep. 2020; 8(12):503-507.

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Yang L, Jiang Q, Guan H, Bo H Medicine (Baltimore). 2019; 98(46):e17856.

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[Intensive care aspects of autoimmune encephalitis].

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